Anterolateral Gutter Ankle

Soft tissue swelling is present in the anterolateral shoulder of the ankle joint and palpable masses are occasionally noted within the lateral gutter.

Anterolateral gutter ankle.

3 over time a meniscoid lesion is often the result of the lateral ankle injury. This click has been attributed to aitfl impingement. The impingement process begins when an inversion sprain tears the anterior talofibular and or the calcaneofibular ligament. Patients may have a history of ankles sprains or chronic ankle instability and now present with constant lateral ankle pain upon ambulation.

Abrasion of the anterolateral talar dome ar ticular surface and secondary chondral inju ry may develop 15. These likely present sources of anterolateral gutter impingement. Ankle impingement syndromes may also be congenital in origin. Typically the capsule and synovial lining of the ankle joint get inflamed and can develop scar tissue in either the anteromedial gutter or anterolateral gutter between the ankle bones.

Patients experience anterolateral ankle pain that is intensified with supination or pronation of the foot anterolateral point tenderness pain with a single leg squat and swelling. Significant scarring and irregularity of the anterior talofibular ligament with chronic appearing periosteal stripping occurring at the fibular origin. 3 during an inversion ankle injury the anterior talofibular ligament and calcaneofibular ligament are affected as is the distal syndesmosis. 9 pain can be elicited with passive dorsiflexion and eversion.

However there is no associated ligamentous ankle instability. Anterolateral impingement syndrome of the ankle is caused by entrapment of the hypertrophic soft tissue in the lateral gutter. The leading causes of impingement lesions are posttraumatic injuries usually ankle sprains leading to chronic pain. An audible click may also be heard during ankle range of motion.

Patients with anterolateral impingement present with chronic ankle pain swelling along the anterolateral aspect of the ankle and limited dorsiflexion. The anterolateral ankle gutter is the most common site of ankle impingement. This irritation and hypertrophy of the tissue can cause pain with ankle dorsiflexion and subsequently symptoms with athletic activities. There is scar tissue and synovitis within the anterolateral gutter as well as a 5 mm osteochondral loose body.